HomeMy WebLinkAboutRoof Affidvit Planning& Development Services
Building &Code Regulation Division
COUNTY
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RQOF INSPECTION AFFIDAVIT
Re: Permit/t
I, a�1�` a�u , licensed as a( O�ntract iEngineer/Architect
(Please print name circle license ty ) •F5468 ing In
General,eudding,Resldentlal or Roofing Contractor or any Individual cer0fJed under 468 F S.ru make such on inspection.
On or about [�zZ b 2 , 1 did personally inspect the roof deck nailing
(Date)
work at, r;ci en,4 eq L� F k /-
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted(whichever is
most t nt).
C.cc1 )
5(gn an I License #
STATE OF FLORIDA
COUNTY OF S& LET
Sww to and subscribed before me this _70J
b, n Wh ally kno n to me or who has produced
a n.
Notary Public,State of Florlda ���;�;����:,: .�•
Signature of Notary'
Commission Number. (Sea{ '
En 01/19/2011 w r
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